Active NPI
Amanda Perry
- Pharmacist
- Pearl, MS
National Provider Identifier
1366044877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E09445
- Practice address
- 5520 Highway 80 E
Pearl, MS 39208-8926 - Phone
- (601) 932-5253
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E09445 | MS | Primary |
Addresses
Primary practice location
5520 Highway 80 E
Pearl, MS 39208-8926
Mailing address
858 Rock Hill Rd
Braxton, MS 39044-9641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E09445 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1366044877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "858 ROCK HILL RD",
"city": "BRAXTON",
"state": "MS",
"postal_code": "390449641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 HIGHWAY 80 E",
"city": "PEARL",
"state": "MS",
"postal_code": "392088926",
"telephone_number": "601-932-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E09445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.